Abstract
Introduction and Objective: Renal stone disease in children is
on the rise with increased incidence and better modalities to
diagnose the disease. Hence there is a necessity to strategize the
evaluation and treatment of children with kidney stones. Our study
was conducted to assess stone distribution, stone burden, and efficacy
of PCNL in pediatric age group.
Methods: All paediatric patients with renal stone disease who subsequently underwent PCNL at our department from January
2017 to December 2020 were analysed.
Results: 84 patients ranging 1-18 years were analysed. Pain abdomen was the most common presenting symptom (61.9%)
followed by fever (19.04%). The mean stone size was 2.16cm with equal side distribution. Most stones were located in the lower
calyx (38%). The mean operative time was 65 minutes. Exposure to radiation from C arm ranged from 1.6-8.3 minutes. Complete
stone clearance was achieved in 90.47% with a mean post- drop in Hb value to 0.72 gm/dl. Mean duration of nephrostomy tube in
situ was 2.4 days and with a mean hospital stay of 3.8 days. Calcium oxalate was the most common type of stone (48%)
Conclusion: PCNL is safe and effective treatment for pediatric
renal calculi with minimal morbidity and increased stone free
rates irrespective of stone size. Proper patient selection, surgical
skill and postoperative care contribute towards the success of the
procedure
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